Individual provider Active NPI

Amanda Oetken, LMHC

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1912203647
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001173 Issued in IA
Practice address
3451 Easton Blvd
Des Moines, IA 50317-3214
Phone
(515) 262-0349
NPI assigned
Jan 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 08046 IA
Mental Health Counselor 101YM0800X 001173 IA Primary

Addresses

Primary practice location

3451 Easton Blvd
Des Moines, IA 50317-3214

Mailing address

3451 Easton Blvd
Des Moines, IA 50317-3214
Phone (515) 262-0349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222000226 IA Practitioner - Mental Health Counselor 2769737873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Richmond CenterGroup PAC ID 2365346822, 8 clinicians

Practice addresses (Care Compare)

1619 S High Ave
Ames, IA 50010-8055
Phone (515) 232-5811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001173IAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Richmond Center Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Community and Family Resources Past Accepting new patients
Jackson Recovery Centers, Inc. Past Accepting new patients

Locations

1619 S High Ave
Ames, IA 50010
Phone (515) 232-3206

1332 S Marshall St
Boone, IA 50036
Phone (515) 433-0316

3451 Easton Blvd
Des Moines, IA 50317
Phone (515) 255-3373

211 Avenue M W
Fort Dodge, IA 50501
Phone (515) 576-7261

438 Southgate Ave
Iowa City, IA 52240
Phone (319) 351-4357

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1912203647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 EASTON BLVD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503173214",
            "telephone_number": "515-262-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 EASTON BLVD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503173214",
            "telephone_number": "515-262-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETKEN",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "08046",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.